Individual
BRADLEY P AXLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2560 CENTRAL PARK AVE., #340, FLOWER MOUND, TX 75028
(972) 538-2100
(972) 539-2231
Mailing address
2041 HAWTHORNE AVE, FORT WORTH, TX 76110-1739
(972) 400-1726
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J8198
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118077004
—
TX
01
—
8BJ298
BCBS
TX
Enumeration date
07/13/2005
Last updated
07/07/2025
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